Form12BAA
Form12BAA
12BAA
[See rule 26B]
Statement showing particulars for the purposes of sub-section (2B) of section 192
Employee Code: 22078
(1) (2)
Section under which tax Name of Address of TAN of Amount of tax Amount of income Any other relevant
deducted at source deductor deductor deductor deducted (Rs.) received/credited details
1.
(a) (b) (c) (d) (e) (f) (g)
Interest from Saving
Bank Interest null null null null 10000.00
Bank Account
2. Section under which tax collected at Name of Address of TAN of Amount of tax collected Any other relevant
source collector collector collector (Rs.) details
(a) (b) (c) (d) (e) (f)
Verification
I Ravi Thakur, son/daughter of Mr. Rajeev Thakur, do hereby certify that the information given above is complete and correct.
Place:
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